中国海洋石油职工血脂水平与高脂血症患病率动态分析

目的 掌握中国海洋石油职工血脂水平与高脂血症患病率的动态变化,为防治高脂血症提供依据.方法 1998年与2004年职工体检中两次均完成血脂检查的职工有4899例,对两次血脂数据进行分析.结果 1998年与2004年总胆固醇(TC)均值男女分别由(5.46±1.08)、(5.42±1.04)mmol/L上升至(5.68±0.99)、(5.79±0.99)mmol/L,差异均有统计学意义(P均<0.01);TG均值男女分别由(1.48±1.29)、(1.28±1.17)mmol/L上升至(1.65±1.31)、(1.46±1.09)mmol/L,差异均有统计学意义(P均<0.01).高脂血症总患病率、高胆固醇血症(HTC)患病率、高三酰甘油血症(HTG)患病率男性分别由46.2%、32.1%、25.7%上升至58.9%、45.1%、32.4%,女性分别由42.0%、31.2%、19.3%上升至58.0%、49.6%、26.2%,差异均有统计学意义(P均<0.01).经过6年,HTC与HTG控制率男性分别为27.5%、29.9%,女性分别为25.1%、34.0%.结论 中国海洋石油职工是高血脂水平人群与高脂血症高发人群,而且增长较快,高脂血症治疗控制率较低,必须尽快采取积极防治措施,降低职工的血脂水平与高脂血症患病率,提高治疗控制率.

Cohort study for the prevalence of the hyperlipidemia and the plasma lipids level in group of staff and workers in China Ocean Petroleum

Objective To study dynamic change for the prevalence of the hyperlipidemia and the plasma lipids level of staff and workers in group in China Ocean Petroleum so as to provide the evidence for the prevention of the patients suffered from hyperlipidemia. Method Four thousand eight hundred and nin-ty-nine workers fmished blood fat test and blood fat data separately for two times in 1998 and 2004. Results The TC average value of males rose to (5.68 ± 0.99) mmol/L from (5.46 ± 1.08) mmol/L and the TC av-erage value of females rose to (5.79 ± 0.99) mmol/L from (5.42 ± 1.04) mmol/L,both were statistical sig-nificant difference(P < 0.01 ).The TG average value of males rose to ( 1.65 ± 1.31 ) mmol/L from ( 1.48 ± 1.29) mmol/L and the TG average value of females rose to (1.46 ± 1.09) mmol/L from (1.28 ± 1.17) mmol/L,both were statistical significant difference (P < 0.01 ). The gross hyperlipidemia,HTC,HTG rate rose to 58.9%,45.1%,32.4% from 46.2%,32.1%,25.7% for the males and those rose to 58.0%,49.6%,26.2% from 42.0%,31.2%,19.3% for the females ,all were statistical significant difference (P < 0.01 ).After 6 years,the males control rate of the HTC and HTG were 27.5% and 29.9%,the females control rate of the HTC and HTG were 25.1% and 34.0%. Conclusions The staff and workers suffered from high hyperlipidemia and lipid level is higher in man group in China Ocean Petroleum and also faster. Treatment control rate of hyperlipidemia was very lower .Therefore,the prevention measure must be taken as fast as possible to reduce lipid level and hyperlipidemia patient's rate actively and improve control rate.